Non-Motor Claims Assessor at Hollard Insurance

Role Objectives:

• To effectively validate, adjust and report on assigned claims. Ensure containment of claims spend and provide fair & timeous claims settlement by benchmarking a culture of best practices within mandated responsibility.

Key Responsibilities:

• Review and validate building & contents claims to determine legitimacy and extent of damage claimed.
• Assess damage and estimate repair costs with a view of containing spend to below pre-determined ACPC.
• Positively contribute to the claims saving and impact to loss ratio as stipulated in the performance contract.
• Verify policy coverage and limits
• Conduct on-site inspections and evaluations when required
• Negotiate settlements with policyholders or contractors.
• Know and understand market trends and building rates, in line with company policy.
• Ensure compliance with Industry regulations and company guidelines
• Identify potential fraud or inflation of claims
• Provide support during reinstatement of property by managing submission and allocation of tenders, when required.
• Provide support to Internal Risk Surveyors & Procurement, when required
• Advise underwriters of claims revealing adverse risk features as soon as they are evident.
• Support business with AI implementation as a business toolkit.
• Seek solutions to potential disagreements and conflicts
• Maintain a high level of service to all stakeholders identified (internal and external) according to the service standards set
• Communicate in a professional manner with internal and external parties and respond to escalations within a pre-determined turnaround time.
• Keep concerned parties abreast of claims status and development
• Ensure adherence to Claims Framework Policy
• Work with and support the claims teams in the regional offices as well as manage relationships with loss adjustors and specialists. 
• Required Knowledge and Experience    
• Sound knowledge of the Building Industry
• 5+ Years of non-motor claims assessing experience
• Sound knowledge of Personal & Commercial Claims experience, which includes:
• Claims procedure
• Insurance terminology
• Legal knowledge (prescription act, insurance act, FAIS)
• Underwriting knowledge (ability to interpret policy wording, understanding how claims information impacts on underwriting)
• Advanced risk assessment knowledge (understand the assessment process, with an ability to appoint a specialist when required)
• Reinsurance and treaties (basic understanding)
• Product knowledge
• Financial knowledge (estimates, premiums, co-insurance)
• Claims Trending
• Ability to work under extreme pressure
• Advanced Microsoft Excel
• Self-management skills (can organise work, space, time)
• Communication skills (Can express oneself in a succinctly)
• Accuracy in the analysis, interpretation and basic calculations of data pertaining to claims settlement/estimates.
• Accuracy in the capturing of data to the core business system
• Demonstrate common sense, self-motivation and discipline
• Well-presented / representative of Hollard Culture
• Visibly demonstrate the Hollard values
• Visibly assisting Hollard to be the trusted Insurer
• Good knowledge of MS Office – Intermediate level (including Word, Excel, Outlook)
• Career orientated
• Knowledge of the Core Business System
• Be open to travel within the national Company network

Educational Requirements    

• Matric/Grade 12
• Appropriate Insurance qualification-Min NQF 4 Level
• Valid SA Driver’s License